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Registered nurse

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THE PEOPLE & THE RECORD

Training, leadership and the right to practice

Expanded history13 sourced episodes

Black nurses built training schools, cared for communities, won professional recognition and challenged unequal treatment at work. These records name the people, institutions and decisions behind those changes—and distinguish education from hiring, promotion and equal working conditions.

Field records. A connection to your workplace needs its own evidence.

Scope & research limits

Thirteen selected episodes across hospital training, community care, university leadership, military nursing and employment rights. Named workplaces include Provident in Chicago, Florida A&M, NYU, Freedmen’s/Howard, Dixie Hospital and Kaiser’s Oakland Medical Center. These are distinct histories, not a proven chain to every nursing job.

See 6 named workplaces & the evidence ↓
Find a person or decision 13 episodes
A training scene from Freedmen’s Hospital, 1943
A uniformed woman holds an ice cap above a basin while another woman in a nurse’s cap looks on.
February 1943 · Washington, D.C.

A lesson at Freedmen’s Hospital

Instructor Thelma Harris shows Maxine Jackson, a volunteer nurse’s aide, how to fill an ice cap.

Roger Smith, U.S. Office of War Information. Library of Congress, Prints & Photographs Division.

Read the archive caption

This photograph records a volunteer aide’s lesson. It does not establish an RN credential or a hiring route.

  1. 187901

    Mary Eliza Mahoney completes formal nurse training

    Mary Eliza Mahoney

    She worked as a nurse and later welcomed the first National Association of Colored Graduate Nurses conference in 1909.

    American Nurses Association · Mary Eliza Mahoney
    Decision, outcome & evidence 1 source
    Barrier or decision at stake
    Mahoney had to complete the hospital school’s demanding 16-month course.
    Who made the decision
    New England Hospital for Women and Children Training School for Nurses
    What changed
    She graduated in 1879; the American Nurses Association identifies her as America’s first Black professional nurse.
    Where the evidence stops
    This record establishes a training credential and professional participation, not a modern state RN license or nationwide access to hospital jobs.
    • American Nurses Association · Mary Eliza Mahoney ↗

      Institutional history

      Supports Mahoney’s 1879 graduation, the training institution and course length, and her 1909 conference address.

      Where to look Mary Eliza Mahoney biography, graduation and 1909 conference paragraphs

  2. 189102

    Emma Reynolds’ exclusion helps spur a new nursing school

    Emma Reynolds, Reverend Louis Reynolds and Daniel Hale Williams

    Reynolds graduated from Provident’s early nursing class. Training capacity grew through an institution built in response to exclusion.

    Chicago History Museum · Provident Hospital
    Decision, outcome & evidence 2 sources
    Barrier or decision at stake
    Chicago nursing schools denied Reynolds admission because she was Black.
    Who made the decision
    Williams and Provident’s organizers established a hospital and nurse training school in Chicago
    What changed
    After efforts to win her admission elsewhere failed, the organizers founded Provident Hospital and its training school in 1891.
    Where the evidence stops
    This is Chicago’s Provident, not another hospital with the same name. It closed in 1987 and reopened under Cook County in 1993; a current job needs its own appointment record.
  3. 1900–190103

    Jessie Sleet Scales takes nursing into Black households

    Jessie Sleet Scales

    A 1901 nursing-journal account records this work. Her reports also connected people’s health with housing and employment discrimination.

    University of Rochester · A history of care exhibit
    Decision, outcome & evidence 2 sources
    Barrier or decision at stake
    Black residents faced obstacles to hospital care and tuberculosis treatment; nursing work also faced racial restrictions.
    Who made the decision
    New York’s Charity Organization Society employed Scales for community nursing
    What changed
    Scales began district nursing in 1900. The work connected home visits and practical health education with treatment for tuberculosis.
    Where the evidence stops
    This was work for a private social-service organization in New York City. It is not proof of a city-government appointment, a modern RN license or a current home-care agency’s hiring route.
    • University of Rochester · A history of care exhibit ↗

      Library exhibition

      Supports The 1900 district-nursing appointment, tuberculosis work and an exhibited contemporary account.

      Where to look Item headed Jessie Sleet Scales, “A Successful Experiment,” American Journal of Nursing 1(10), 1901, pp. 729–31

    • University of Illinois Chicago · Black public health nurses ↗

      University public-history research

      Supports Identifies her private employer and reports connecting home conditions and employment discrimination to health.

      Where to look “Black public health nurses: skills & impact,” final paragraph on Scales and the Charity Organization Society; indexed page text

  4. 190804

    Martha Minerva Franklin turns exclusion into collective organizing

    Martha Minerva Franklin and the founding nurses of NACGN

    The new association set goals for professional standards, leadership and ending discrimination. Its surviving records describe later campaigns for jobs and military service.

    NYPL Schomburg Center · NACGN records
    Decision, outcome & evidence 1 source
    Barrier or decision at stake
    Black nurses faced discrimination in professional opportunities and needed an organization able to act on their conditions.
    Who made the decision
    Nurses meeting in New York formed the National Association of Colored Graduate Nurses and elected Franklin president
    What changed
    Franklin gathered information from Black nurses and called the founding meeting, sponsored by the Lincoln School for Nurses Alumnae Association.
    Where the evidence stops
    Organizing created a vehicle for change; founding an association did not itself change a hospital’s hiring policy. The catalog description was reviewed, not the underlying meeting minutes.
    • NYPL Schomburg Center · NACGN records ↗

      Archival finding aid

      Supports Franklin’s survey, the sponsoring alumnae association, the 1908 founding and its stated goals.

      Where to look Biographical/historical information, opening paragraph; indexed finding aid, collection Sc Micro R 6565

  5. 194505

    Staupers and Black nurses press for military admission

    Mabel Keaton Staupers and the National Association of Colored Graduate Nurses

    The National Park Service account dates the military’s acceptance of qualified nurses regardless of race to 1945.

    National Park Service · Places of Mabel Keaton Staupers
    Decision, outcome & evidence 1 source
    Barrier or decision at stake
    Qualified Black nurses faced racial restrictions on military nursing service during World War II.
    Who made the decision
    Army and Navy nursing authorities; Staupers and NACGN advocated for the change
    What changed
    Staupers organized a letter-writing campaign, met Eleanor Roosevelt and pressed officials to use Black nurses’ skills.
    Where the evidence stops
    This institutional history describes an admission change; it does not establish equal assignments, promotion or the service record of an individual nurse.
  6. 1945–195306

    Mary Elizabeth Carnegie strengthens nursing education at Florida A&M

    Mary Elizabeth Carnegie and Florida A&M’s nursing faculty and students

    Nursing became a college division responsible for its curriculum and clinical arrangements, separating educational oversight from hospital service needs.

    University of Virginia · Carnegie’s educational leadership
    Decision, outcome & evidence 2 sources
    Barrier or decision at stake
    Nursing education operated within the hospital’s administration, limiting faculty control over students’ preparation.
    Who made the decision
    Carnegie led the program; college administrators authorized its separate educational responsibilities and budget
    What changed
    As dean, Carnegie reorganized faculty, secured a separate budget and strengthened clinical instruction. She also shortened students’ duty hours and improved textbooks and records.
    Where the evidence stops
    These are documented educational and administrative changes during her 1945–1953 tenure. They do not establish each graduate’s license, later employer or measured patient outcomes.
  7. 1946–1947 · accounts differ07

    Estelle Massey Osborne joins NYU’s nursing faculty

    Estelle Massey Osborne

    NYU describes eight years of teaching and mentoring Black students and nurses—a specific appointment and sustained work, not only an honorary recognition.

    NYU Meyers · Estelle Osborne’s legacy
    Decision, outcome & evidence 2 sources
    Barrier or decision at stake
    Advanced nursing education and faculty positions were separate barriers for Black nurses.
    Who made the decision
    New York University appointed Osborne; the reviewed accounts do not identify the appointing official
    What changed
    After earning a nursing master’s at Teachers College in 1931, Osborne became NYU’s first Black nursing faculty member, according to NYU’s institutional account.
    Where the evidence stops
    NYU’s account dates her arrival to 1946; NYPL’s finding aid says 1947. An appointment record is still needed to resolve that difference. This faculty role does not establish employment at an NYU hospital.
    • NYU Meyers · Estelle Osborne’s legacy ↗

      Institutional history

      Supports Her degree, NYU’s first-Black-faculty identification, its 1946 date and the mentoring described.

      Where to look 2017 legacy celebration account; paragraphs on the 1931 master’s and 1946 faculty appointment

    • NYPL Schomburg Center · Estelle Massey Osborne papers ↗

      Archival finding aid

      Supports An independent institutional account of the appointment with a conflicting year; underlying papers were not reviewed.

      Where to look Creator History, printed page ii (PDF page 2), paragraph recording a 1947 NYU appointment

  8. 194808

    Black nurses gain full ANA membership

    Mabel Keaton Staupers and Black nurses organizing through NACGN

    The professional association’s membership barrier changed; ANA’s own biography records this result.

    American Nurses Association · Mabel Keaton Staupers
    Decision, outcome & evidence 1 source
    Barrier or decision at stake
    ANA membership had been denied to Black nurses living in some states.
    Who made the decision
    American Nurses Association; the biography does not identify the specific voting body
    What changed
    Following years of organizing, Black nurses were admitted to full ANA membership in 1948.
    Where the evidence stops
    Association membership is distinct from a nursing license, an employer’s hiring decision and equal treatment on the job.
  9. September 21, 196109

    Congress protects eligible staff during the Howard transfer

    Freedmen’s Hospital employees facing a change of employer

    The law also protected specified retirement, insurance and seniority arrangements.

    Public Law 87-262 · Transfer of Freedmen’s Hospital
    Decision, outcome & evidence 1 source
    Barrier or decision at stake
    Transferring a federal hospital to a university put employees’ jobs, pay and benefits under a new employer.
    Who made the decision
    U.S. Congress, with transfer terms to be agreed by the HEW secretary and Howard’s trustees
    What changed
    Public Law 87-262 required transfer opportunities for eligible staff and prohibited salary reductions for covered employees who transferred.
    Where the evidence stops
    The protections applied to defined employee categories, not every applicant or later hire; this statute alone does not verify an individual worker’s transfer or payroll.
  10. April 28, 196610

    Three nurses win a ruling against discriminatory dismissal

    Mildred M. Smith, Agnes L. Stokes and Patricia L. Taylor

    The court directed reinstatement offers and recognized entitlement to back pay, reduced by interim earnings.

    Smith v. Hampton Training School for Nurses · 360 F.2d 577
    Decision, outcome & evidence 1 source
    Barrier or decision at stake
    Dixie Hospital in Hampton, Virginia, fired the three Black nurses—two practical nurses and one RN—after they ate in its white employees’ cafeteria.
    Who made the decision
    U.S. Court of Appeals for the Fourth Circuit, with the opinion written by Judge Simon Sobeloff
    What changed
    They challenged their dismissal; the appeals court rejected the hospital’s defense and reversed the lower court.
    Where the evidence stops
    The opinion establishes ordered relief at this hospital, not evidence that every remedy was carried out or that all nursing workplaces changed.
  11. 1968–197311

    Anna B. Coles leads Howard’s new nursing degree program

    Anna B. Coles, founding dean, and Howard’s first BSN cohort

    Howard’s first BSN cohort graduated in 1973, documenting an implemented degree program rather than only an announcement.

    Howard University · College of Nursing and Allied Health history
    Decision, outcome & evidence 3 sources
    Barrier or decision at stake
    Freedmen’s hospital-based diploma training and a university bachelor’s program were different educational routes.
    Who made the decision
    Howard University Board of Trustees approved the program; Coles led the school
    What changed
    The trustees approved a baccalaureate nursing program on April 23, 1968; instruction began in 1969 under the new school’s leadership.
    Where the evidence stops
    This establishes Howard’s education pathway; graduation alone does not establish licensure or an appointment at Howard University Hospital or another employer.
  12. 1971–197212

    Black nurses build a national voice from local workplaces

    Lauranne Sams, Betty Smith Williams, Jessie Cunningham and Dorothy Williams

    Kaiser’s history records Cunningham’s OB-GYN work and supervisory appointment at Oakland Medical Center in the 1960s. Cunningham and Williams also organized community health screenings through their local Black nurses’ association.

    National Black Nurses Association · Founding history
    Decision, outcome & evidence 2 sources
    Barrier or decision at stake
    A nursing credential did not by itself secure professional influence or advancement.
    Who made the decision
    Black nurse organizers founded NBNA and adopted its constitution and bylaws
    What changed
    Sams and fellow nurses formed the National Black Nurses Association in Cleveland in 1971; its 1972 meeting established the organization’s governing structure.
    Where the evidence stops
    The records connect named nurses to Oakland and professional organizing. They do not identify who approved Cunningham’s promotion or prove a hiring pathway across every Kaiser facility.
    • National Black Nurses Association · Founding history ↗

      Organization’s own history

      Supports The named organizers, founding meeting and adoption of the governing structure.

      Where to look Founding account; 1970 California organizing, 1971 Cleveland meeting and 1972 constitution/bylaws

    • Kaiser Permanente · Jessie Cunningham’s nursing career ↗

      Employer history with recollections

      Supports Cunningham’s Oakland nursing and supervision; Cunningham and Williams’ local organizing.

      Where to look May 1, 2014; “A model student and mentor” and “Making connections with Black colleagues”

  13. 1979–198313

    Hazel Johnson-Brown leads the Army Nurse Corps

    Hazel W. Johnson-Brown

    She became the U.S. military’s first Black woman general officer. During her tenure, Army nursing practice standards were published as an official Department of the Army pamphlet.

    U.S. Army Medical Department · Hazel W. Johnson
    Decision, outcome & evidence 2 sources
    Barrier or decision at stake
    Johnson-Brown’s path began with rejection from a nursing school because she was Black; senior military leadership presented another level of access.
    Who made the decision
    U.S. Army leadership appointed Johnson-Brown chief of the Army Nurse Corps
    What changed
    A Harlem Hospital School of Nursing graduate, she entered the Army in 1955 and became its nurse corps chief on September 1, 1979.
    Where the evidence stops
    The appointment and practice standards establish institutional leadership, not equal promotion outcomes for every Black nurse or a reader’s commission at a particular Army hospital.
    • U.S. Army Medical Department · Hazel W. Johnson ↗

      Official military history

      Supports Her training, commission, chief appointment, general-officer first and publication of the practice standards.

      Where to look Sixteenth Chief profile; tenure dates, education, commission and Army Nurse Corps standards paragraphs

    • National Museum of the U.S. Army · Hazel Johnson-Brown ↗

      Military museum history

      Supports The discrimination she encountered before training and her later Army leadership.

      Where to look Biography; West Chester rejection, Harlem training and 1979 appointment paragraphs

PLACE BY PLACE

At specific workplaces

These records name an institution, school or employer. Open one to see what connects, what changed and what still needs evidence.

Howard University HospitalWashington, DC · Howard University
  • 1941

    Freedmen’s opens classrooms and housing for nursing students

    Freedmen’s Hospital, the predecessor of Howard University Hospital, ran its own school of nursing. In 1941 it opened a building on Howard’s campus where nursing students lived and attended classes.

    Where the connection stops This record names the workplace. It does not establish your own training, appointment or hiring route, or prove that every worker benefited.

    Howard University College of Medicine · History of Freedmen’s Hospital ↗
  • Fall 1975

    Howard University Hospital replaces Freedmen’s Hospital

    Howard University Hospital opened as the successor to Freedmen’s Hospital. This is the documented institutional link between the earlier teaching hospital and the workplace you entered.

    Where the connection stops Howard’s hospital history dates the opening of the successor hospital. Its medical school history separately describes training facilities for nurses at Freedmen’s.

    Howard University College of Medicine · Howard University Hospital ↗
Dixie Hospital, Hampton, VAHampton, Virginia
  • April 28, 1966

    Three nurses win a ruling against discriminatory dismissal

    They challenged their dismissal; the appeals court rejected the hospital’s defense and reversed the lower court. The court directed reinstatement offers and recognized entitlement to back pay, reduced by interim earnings. The opinion establishes ordered relief at this hospital, not evidence that every remedy was carried out or that all nursing workplaces changed.

    Where the connection stops The opinion establishes ordered relief at this hospital, not evidence that every remedy was carried out or that all nursing workplaces changed. This names the historical hospital; a connection to a renamed or successor employer needs a separate record.

    Smith v. Hampton Training School for Nurses · 360 F.2d 577 ↗
Provident Hospital of ChicagoChicago, IL
Kaiser Permanente Oakland Medical CenterOakland, CA · Kaiser Permanente
Florida Agricultural and Mechanical UniversityTallahassee, FL
New York UniversityNew York, NY
Field history1879

Nurse training

Mary Eliza Mahoney

Mahoney graduated from the nursing school at the New England Hospital for Women and Children. The American Nurses Association recognizes her as the first Black graduate nurse in the United States.

Thirty years later, she welcomed nurses to the first conference of the National Association of Colored Graduate Nurses.

01
ORIGIN / Institutions in this record
Context & scope

Training, organizing and professional access

Late 19th and early 20th centuries

Context, scope & sources

Tuskegee trained Black nurses through a hospital school. In Jacksonville a Methodist church mission also founded a nursing school for Black women. The Jacksonville example documents church sponsorship, but it does not establish a nationwide Black-church origin.

02
GATE / Separate decisions shape access
Context & scope

Nurse training and state licensing

Current U.S. entry pathway

Context, scope & sources

Students may qualify through bachelor’s, associate degree or diploma programs. State nursing regulators license graduates who meet their requirements and pass the examination. An account limited to university degrees would miss other qualifying routes.

03
TREND / MEASURED

Representation over time

Employed workforce

Black maleBlack female

Coverage 2010–2024. Dots mark reported years. Gaps stay open.

2010–2024 definition. Registered nurses; excludes advanced practice nursing occupations. Black or African American alone (RAC1P=2), any Hispanic origin or birthplace. Denominator: all U.S. civilian employed people age 16+ in this occupation (ESR=1 or 2; 50 states and DC). Weighted by ACS person weight PWGTP. OCCP: 3255.

All definitions & source tables

Registered nurses; excludes advanced practice nursing occupations. Black or African American alone (RAC1P=2), any Hispanic origin or birthplace. Denominator: all U.S. civilian employed people age 16+ in this occupation (ESR=1 or 2; 50 states and DC). Weighted by ACS person weight PWGTP. OCCP: 3255.

View the numbers
YearGroupEstimateSource table
2024Black female10.8%±0.4 pp (90% margin)2024 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2024Black male1.5%±0.2 pp (90% margin)2024 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2023Black female11.0%±0.4 pp (90% margin)2023 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2023Black male1.5%±0.2 pp (90% margin)2023 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2022Black female10.5%±0.4 pp (90% margin)2022 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2022Black male1.5%±0.2 pp (90% margin)2022 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2021Black female10.1%±0.4 pp (90% margin)2021 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2021Black male1.3%±0.2 pp (90% margin)2021 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2019Black female10.4%±0.4 pp (90% margin)2019 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2019Black male1.5%±0.2 pp (90% margin)2019 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2018Black female10.4%±0.4 pp (90% margin)2018 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2018Black male1.5%±0.2 pp (90% margin)2018 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2017Black female9.7%±0.3 pp (90% margin)2017 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2017Black male1.1%±0.1 pp (90% margin)2017 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2016Black female9.8%±0.3 pp (90% margin)2016 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2016Black male1.1%±0.1 pp (90% margin)2016 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2015Black female10.3%±0.4 pp (90% margin)2015 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2015Black male1.3%±0.1 pp (90% margin)2015 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2014Black female10.2%±0.4 pp (90% margin)2014 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2014Black male1.1%±0.2 pp (90% margin)2014 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2013Black female9.8%±0.4 pp (90% margin)2013 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2013Black male0.9%±0.1 pp (90% margin)2013 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2012Black female9.5%±0.4 pp (90% margin)2012 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2012Black male1.0%±0.1 pp (90% margin)2012 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2011Black female9.1%±0.3 pp (90% margin)2011 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2011Black male1.1%±0.2 pp (90% margin)2011 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2010Black female9.2%±0.3 pp (90% margin)2010 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
2010Black male0.8%±0.1 pp (90% margin)2010 ACS 1-year PUMS, U.S. person file • Registered nurses; excludes advanced practice nursing occupations by race and sex
04
RESEARCH QUESTION

Which hospitals changed admission, hiring, assignments and promotion for Black nurses?

Field history is not proof of an individual hiring route.

See what is still open ↗
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Registered nurse

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